- Practice location
- 12900 State Route 664 S, Logan, OH 43138-9261
- Phone
- 740-385-6300
- Fax
- 740-385-8400
- Last updated
- December 20, 2007
Logan Dialysis Center LLC is a healthcare organization based in Logan, OH. Logan Dialysis Center LLC practices in Logan, OH. The NPI Number for Logan Dialysis Center LLC is 1407030802. The current practice location address for Logan Dialysis Center LLC is 12900 State Route 664 S, Logan, OH 43138-9261 and can be reached out via phone at 740-385-6300 and via fax at 740-385-8400.
Provider Profile Details
- NPI Number
- 1407030802
- Provider Name
- Logan Dialysis Center LLC
- Provider Entity Type
- Organization
- Address
- 12900 State Route 664 S, Logan, OH 43138-9261
- Phone Number
- 740-385-6300
- Fax Number
- 740-385-8400
- Primary Taxonomy
- Clinic/Center, End-Stage Renal Disease (ESRD) Treatment · 261QE0700X
- Organization Subpart
- No
- Authorized Official
- Mr. Christopher T Ford · Chairman · 978-922-3080
- Provider Enumeration Date
- December 20, 2007
- Last Update Date
- December 20, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12900 State Route 664 S
Logan, OH 43138-9261 - City
- Logan
- State
- Ohio
- Zip
- 43138-9261
- Phone Number
- 740-385-6300
- Fax Number
- 740-385-8400
Provider Business Mailing Address Details
- Address
- 66 Cherry Hill Dr
Suite 200
Beverly, MA 01915-1054 - City
- Beverly
- State
- MA
- Zip
- 01915-1054
- Phone Number
- 978-922-3080
- Fax Number
- 978-922-3085
License Information
- Taxonomy
- Clinic/Center, End-Stage Renal Disease (ESRD) Treatment · 261QE0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, End-Stage Renal Disease (ESRD) Treatment providers near Logan, OH
View all Clinic/Center, End-Stage Renal Disease (ESRD) Treatment providers in Logan →Frequently Asked Questions
What is the NPI number of Logan Dialysis Center LLC?
The NPI number of Logan Dialysis Center LLC is 1407030802. It was assigned on December 20, 2007 and is currently active in the NPPES registry.
What is the specialty of Logan Dialysis Center LLC?
Logan Dialysis Center LLC is registered under the primary taxonomy Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (code 261QE0700X).
Where does Logan Dialysis Center LLC practice?
The practice location is 12900 State Route 664 S, Logan, OH 43138-9261. The office can be reached at 740-385-6300 (phone) or 740-385-8400 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407030802 directly on the NPPES registry website.